Coverage, Payment, and the Impact of Advocacy

Decisions about which wound care products and services are (or are not) covered under Medicare are made at the national level by the CMS or regionally by Medicare contractors that each make local coverage determinations (LCDs) for the parts of the country they cover. The impact of these policies is significant. If something is not covered by Medicare, you cannot be reimbursed for it. As a result, many clinical treatment decisions are guided by Medicare coverage decisions rather than best clinical practices … read more